Individual
MS. HOLLY RENEE WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1710 N RANDALL RD STE 260, ELGIN, IL 60123-9402
(847) 931-7900
(847) 931-1888
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209011728
IL
363LA2100X
Acute Care Nurse Practitioner
209011728
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209011728
—
IL
Enumeration date
08/21/2014
Last updated
05/12/2022
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